Montera Health Iowa Llc | |
315 E 5th St Ste 202 Waterloo IA 50703-4757 | |
(865) 680-1516 | |
Not Available |
Full Name | Montera Health Iowa Llc |
---|---|
Speciality | Behavior Analyst |
Location | 315 E 5th St Ste 202, Waterloo, Iowa |
Authorized Official Name and Position | Qingqing Mao (ADMIN) |
Authorized Official Contact | 4158051725 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Montera Health Iowa Llc 315 E 5th St Ste 202 Waterloo IA 50703-4757 Ph: (865) 680-1516 | Montera Health Iowa Llc 315 E 5th St Ste 202 Waterloo IA 50703-4757 Ph: (865) 680-1516 |
NPI Number | 1528714235 |
---|---|
Provider Enumeration Date | 02/22/2022 |
Last Update Date | 01/31/2024 |
Certification Date | 01/31/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528714235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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